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Medical Forum / Diseases and Disorders / Asthma / January 2007

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Frustrated

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IRTRACY - 08 Jan 2007 14:46 GMT
I have a job where I work at several locations throughout the week.
Usually I'm only 2 hours at any one location. At one location, they
moved the office. I had no problems in the old office, but in the
current office, I had an asthma attack. That was Thursday.

I took my MaxAir inhaler, but I'm still not breathing properly (the peak
flow is in the yellow zone). This is frustrating. I would expect my
breathing to go back to normal within a couple of days after using the
inhaler.

I can't use Pulmicort or Flovent or Singulair or Accolade or Tilade or
Intal because I've had anaphylactic reactions to all of them.

I am frustrated because every time I go through a crisis such as this,
no one seems to have any answers for me. There seem to be no new classes
of asthma drugs. Frankly, I would expect a new one every year, and there
hasn't been any significant development in the past 10 years. (No, I
don't qualify for Xolair, and the other drug--Xopenex?--seems to be just
another steriod.)

I don't get much help from doctors. They only offer the same old
medications, and when I tell them of the adverse reactions they either
say "take it anyway" or tell me there's nothing they can do.

I have no idea what caused the reaction in the first place. There isn't
a new carpet. And I don't understand how my lungs could get so reactive
with only 2 hours of exposure to whatever it was.

I have to go back to this location; my job requires it. (No, I can't get
another job. The last time I lost a full time job it took me a year to
find another. I can't afford to be unemployed that long again.) I'll
wear a mask or use a fan, but I don't know what else to do.

Does anyone have any ideas?

Joan
EdDiggstds@aol.com - 09 Jan 2007 05:21 GMT
> I have a job where I work at several locations throughout the week.
> Usually I'm only 2 hours at any one location. At one location, they
[quoted text clipped - 32 lines]
>
> Joan

Try using the inhailor shortly before going to this place.

ed
00doc - 09 Jan 2007 05:44 GMT
>I have a job where I work at several locations throughout the week. Usually
>I'm only 2 hours at any one location. At one location, they moved the
[quoted text clipped - 30 lines]
>
> Does anyone have any ideas?

First off, I think you need to go back and work on this with your docs. At
the very least I can tell that you need education on the disease and the
meds. Maxair is a bronchodilator and there is no reason to think it will
have any effects beyond 4-6 hours after the dose. It will not stop a flare -
just open things up for a few hours. Secondly, Xopenex is not a steroid.

Lastly, it is unlikely that you are truly having anaphylaxis to the the drug
component of steroid medications. You may be reacting to something else in
the preparation, like the propellant or a preservative. This suggests that
it may be possible to find some other preparation that you can tolerate if
you keep trying other products. The other possibility is that you are not
having anaphylaxis at all but something else like vocal cord dysfunction or
globus sensations.

If it does turn out that you cannot tolerate any inhaled steroids or other
types of anti-inflammatories then there may be other meds you could take
like oral steroids (not great but better than not breathing), theophylline,
or some even less conventional asthma meds. Also, an allergist could work
with you to determine exactly what is triggering you and either desensitize
you to it or help you avoid it. If you can identify the trigger it maybe
possible for your employer to remove it.

Besides, if you have had anaphylactic reactions 6 or more times then you
really should be under the care of a specialist on those grounds alone.

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00doc

mcs - 10 Jan 2007 04:42 GMT
>>I have a job where I work at several locations throughout the week.
>>Usually I'm only 2 hours at any one location. At one location, they moved
[quoted text clipped - 56 lines]
> Besides, if you have had anaphylactic reactions 6 or more times then you
> really should be under the care of a specialist on those grounds alone.

different location might definitely have more mold pollution or more reasons
for air being bad then in other places. Many people react to different
locations for many reasons.

For instance what if your bank for example was located next to a large
school and you had seven busses running their diesel motors for two hours at
start of school and at end of school day. You most definitely might feel the
intake of that air from the place of employments air system.
 
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